Organization
NYQUIST FAMILY ORTHODONTICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JILLIAN NYQUIST (ORTHODONTIST)
(270) 559-4118
Entity
Organization
Contact information
Practice address
7221 NOLENSVILLE RD STE 101, NOLENSVILLE, TN 37135-3052
(516) 819-5999
Mailing address
1504 SIERRA PT, NOLENSVILLE, TN 37135-3020
(270) 559-4118
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
09/10/2024
Last updated
09/10/2024
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